Recurring Problems with Nursing Homes #3

Dan Frith
Dan Frith
Contributor
Posted by Dan FrithJune 03, 2009 6:25 AM

Lauren and I have reviewed over 500 potential nursing home cases over the years and we see some problems over and over and over again. I decided we would share with our readers some of the more frequent problems...and the answers.

Problem #3: You are told that your father must have a feeding tube inserted because he is taking too long to eat.

Wrong! Feeding tubes are a last resort. The nursing home must take specific steps toward maintaining a resident's ability to eat. The steps include: (1) prompting the resident to eat, (2) providing therapy to improve swallowing skills, (3) feed the resident by hand, (4) providing foods which are more easily eaten such as pureed foods, (5) provide utensils with easy to grip handles.

A resident's slowness in eating is not a sufficient reason for the placement of a feeding tube. The fact the nursing home has failed to hire sufficient staff to feed the residents is not a sufficient reason for the use of a feeding tube.

2 Comments

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Jan BoswellInjuryBoard Contributor
Posted by Jan Boswell
June 03, 2009 8:23 AM

I agree. I have reviewed many nursing home cases that deal with this issue. If you are told your loved one is taking too long to eat, insist on a swallowing study. I have seen many cases of aspiration pneumonia that have led to death. Feeding tubes have a side effects if not properly maintained. The question is, if the nursing home staff does not have time to feed your loved one, will they have time to maintain the fedding tube. My experience has been that many of the problems within nursing homes is lack of adequate staffing.

Great, informative post.

Elise Beaulieu
Posted by Elise Beaulieu
June 03, 2009 9:02 AM

I am also in agreement. A feeding tube is an invasive procedure and one that requires skilled staff to maintain. Many older adults have lost their sense of smell and medications can make food taste "tinny". Pureed foods can also look unappealing. TV's should be turned off while food is being served. Healthy, tasty snacks should be offered. Feeding groups are another solution, but caregivers must make mealtime conversational, not a chore and talk and speak to residents while they are helping to feed. If the staff is disinterested in assisting with feeding and providing nourishments, it will be obvious in resident's weight losses.

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